CN109843206B - Centralized control device - Google Patents

Centralized control device Download PDF

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Publication number
CN109843206B
CN109843206B CN201780058078.0A CN201780058078A CN109843206B CN 109843206 B CN109843206 B CN 109843206B CN 201780058078 A CN201780058078 A CN 201780058078A CN 109843206 B CN109843206 B CN 109843206B
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log data
extraction
unit
abnormal state
information
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CN109843206A (en
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上邦彰
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Olympus Corp
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Olympus Corp
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00002Operational features of endoscopes
    • A61B1/00039Operational features of endoscopes provided with input arrangements for the user
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00002Operational features of endoscopes
    • A61B1/00004Operational features of endoscopes characterised by electronic signal processing
    • A61B1/00006Operational features of endoscopes characterised by electronic signal processing of control signals
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00002Operational features of endoscopes
    • A61B1/00011Operational features of endoscopes characterised by signal transmission
    • A61B1/00016Operational features of endoscopes characterised by signal transmission using wireless means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00002Operational features of endoscopes
    • A61B1/00043Operational features of endoscopes provided with output arrangements
    • A61B1/00045Display arrangement
    • A61B1/0005Display arrangement combining images e.g. side-by-side, superimposed or tiled
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    • A61B1/00002Operational features of endoscopes
    • A61B1/00043Operational features of endoscopes provided with output arrangements
    • A61B1/00055Operational features of endoscopes provided with output arrangements for alerting the user
    • AHUMAN NECESSITIES
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    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/04Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
    • A61B1/045Control thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1482Probes or electrodes therefor having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
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    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
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    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • GPHYSICS
    • G02OPTICS
    • G02BOPTICAL ELEMENTS, SYSTEMS OR APPARATUS
    • G02B23/00Telescopes, e.g. binoculars; Periscopes; Instruments for viewing the inside of hollow bodies; Viewfinders; Optical aiming or sighting devices
    • G02B23/24Instruments or systems for viewing the inside of hollow bodies, e.g. fibrescopes
    • GPHYSICS
    • G08SIGNALLING
    • G08BSIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
    • G08B5/00Visible signalling systems, e.g. personal calling systems, remote indication of seats occupied
    • G08B5/22Visible signalling systems, e.g. personal calling systems, remote indication of seats occupied using electric transmission; using electromagnetic transmission
    • G08B5/36Visible signalling systems, e.g. personal calling systems, remote indication of seats occupied using electric transmission; using electromagnetic transmission using visible light sources
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/40ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades
    • GPHYSICS
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    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
    • AHUMAN NECESSITIES
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    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00115Electrical control of surgical instruments with audible or visual output
    • A61B2017/00119Electrical control of surgical instruments with audible or visual output alarm; indicating an abnormal situation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00221Electrical control of surgical instruments with wireless transmission of data, e.g. by infrared radiation or radiowaves
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00601Cutting

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
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  • Instruments For Viewing The Inside Of Hollow Bodies (AREA)

Abstract

A system controller (26) for centrally controlling a controlled device used in an operation has a device abnormality detection unit (52), an operation/setting record processing unit (51), and a related information extraction unit (53). An equipment abnormality detection unit (52) detects an abnormal state of a controlled equipment connected to a system controller (26). An operation/setting recording processing unit (51) performs recording processing for recording operation information relating to an operation on a controlled device in a predetermined storage device as log data. When an abnormal state is detected by an equipment abnormality detection unit (52), a related information extraction unit (53) extracts related information associated with the abnormal state from log data. A system controller (26) performs notification processing for notifying the extracted association information.

Description

Centralized control device
Technical Field
The present invention relates to a centralized control apparatus, and more particularly, to a centralized control apparatus that performs centralized control of controlled devices used in surgery.
Background
In surgery, a variety of medical devices are used. The medical equipment is an endoscope device, a pneumoperitoneum device, an electric scalpel device, and the like, and is centrally controlled by a centralized control device. In addition, in some cases, a device other than the medical device, for example, a recorder for recording an image, is used in the operation. Therefore, in this case, the centralized control apparatus centrally controls the devices including such non-medical devices.
The operator, the nurse, or the like can give instructions for the operation of each medical instrument by directly operating the operation buttons or the like of each medical instrument during the operation or by operating the operation panel or the like connected to the centralized control apparatus.
In addition, when an abnormality occurs in a medical device during an operation, an error display is performed on a monitor or the like, and an operator or the like can recognize the abnormality of the device and take a measure against the abnormality.
Further, japanese patent application laid-open No. 2009-189654 proposes a system including: the user can take appropriate measures both when the user such as a nurse performs an unintended setting operation and when the user is subjected to such an unintended setting operation.
In the proposed system, the operation setting log data is generated by the surgical system of the user, and when a transmission request from the outside is received, the generated operation setting log data is transmitted to the remote system. As a result, the external, i.e., remote system can receive the operation setting log data in the user system and analyze the operation setting log data.
However, in the case of the above proposed system, the transmitted log data is all the generated log data, and the data amount thereof is large. Therefore, when the log data is received and analyzed when an abnormality occurs in the device, the amount of data is large, and therefore, there is a problem that it takes time to analyze the log data, both when the analysis is performed automatically and when the analysis is performed manually.
Therefore, an object of the present invention is to provide a centralized control apparatus that selects and transmits log data associated with an abnormality when the abnormality occurs in a device.
Disclosure of Invention
Means for solving the problems
A centralized control apparatus according to an aspect of the present invention is a centralized control apparatus for centrally controlling a device to be controlled used in a surgery, the centralized control apparatus including: an abnormality detection unit that detects an abnormal state of the controlled device connected to the central control apparatus; a recording processing section that performs recording processing for recording operation information regarding an operation on the controlled device in a predetermined storage device as log data; a related information extracting section that extracts related information related to the abnormal state from the log data when the abnormal state is detected by the abnormality detecting section; and a notification unit configured to notify the extracted association information.
Drawings
Fig. 1 is a structural diagram of a surgical system according to an embodiment of the present invention.
Fig. 2 is a block diagram showing flows of control signals and video signals between devices of the surgical system according to the embodiment of the present invention.
Fig. 3 is a block diagram showing a configuration of a system controller according to an embodiment of the present invention.
Fig. 4 is a diagram showing an example of log data recorded in a log table of a hard disk device of a system controller according to an embodiment of the present invention.
Fig. 5 is a flowchart showing an example of a flow of processing of the system controller when an error occurs according to the embodiment of the present invention.
Fig. 6 is a flowchart showing an example of the flow of the processing of the related information extracting unit according to the embodiment of the present invention.
Fig. 7 is a diagram showing an example of an extraction condition table for defining extraction conditions according to the embodiment of the present invention.
Fig. 8 is a diagram showing log data extracted when the extraction type is "B" according to the embodiment of the present invention.
Fig. 9 is a diagram showing log data extracted when the extraction type is "C" according to the embodiment of the present invention.
Fig. 10 is a diagram showing log data extracted when the extraction type is "a" according to the embodiment of the present invention.
Fig. 11 is a diagram showing another example of log data recorded in the hard disk device of the system controller according to the embodiment of the present invention.
Fig. 12 is a diagram showing log data extracted when the extraction type is "B" according to the embodiment of the present invention.
Fig. 13 is a diagram showing log data extracted when the extraction type is "C" according to the embodiment of the present invention.
Fig. 14 is a diagram showing log data extracted when the extraction type is "a" according to the embodiment of the present invention.
Fig. 15 is a diagram showing an example of display of log data displayed on a display screen of a mobile terminal device according to an embodiment of the present invention.
Fig. 16 is a diagram showing an example of display on the display unit of the operation panel 28 according to the embodiment of the present invention.
Fig. 17 is a diagram showing an example of display of a display unit for displaying a pull-down menu according to the embodiment of the present invention.
Fig. 18 is a flowchart showing an example of the flow of the processing of the system controller 26 according to the embodiment of the present invention.
Fig. 19 is a diagram showing an example of an extraction condition table for defining extraction conditions according to the embodiment of the present invention.
Detailed Description
Embodiments of the present invention will be described below with reference to the drawings.
(Structure)
Fig. 1 is a structural diagram of a surgical system according to an embodiment of the present invention. The surgical system 1 includes a plurality of medical devices and a plurality of non-medical devices.
Fig. 1 shows various devices provided in an operating room, and a surgical system 1 is configured to include the various devices.
As shown in fig. 1, in the operating room, a cart 11 on which various devices are mounted, a patient bed 12 on which a patient P lies, a table 13, two monitors 14 and 15 suspended from a ceiling, an indoor camera 16 for photographing the operating room, a plurality of shadowless lamps not shown, and the like are arranged at predetermined positions. Monitors 14 and 15 and an indoor camera 16 as display devices are attached to an arm member 17 fixed to a ceiling.
The cart 11 includes, as a plurality of medical devices to be controlled, an electric scalpel device 21, a pneumoperitoneum device 22, an endoscopic video processor (hereinafter, referred to as a video processor) 23, an endoscopic light source device (hereinafter, referred to as a light source device) 24, and a gas bomb 25 filled with carbon dioxide. The cart 11 also houses various medical devices such as the electric scalpel device 21 and a system controller 26. The system controller 26 is a centralized control device that centrally controls various medical devices and non-medical devices described later.
A monitor 27 is mounted on the upper surface of the cart 11, and an operation panel 28 is fixedly provided on the side surface of the cart 11. The monitor 27 is, for example, a TV monitor for displaying an endoscopic image or the like.
The operation panel 28 is connected to the system controller 26, and is a centralized operation device that is configured by a display unit such as a liquid crystal display and a touch sensor, for example, integrally provided on the display unit and operated by a user such as a nurse located in a non-sterilization area.
On the operation panel 28, a screen for performing various operations such as turning on/off of each device, setting of parameters and the like, and changing of the set values of the input parameters is displayed.
The electric scalpel 31 is connected to the electric scalpel device 21 via a cable 31 a. The electric scalpel 31 is, for example, a bipolar type electric scalpel.
The endoscope 33 is connected to the video processor 23 via a cable 33a, and is connected to the light source device 24 via a light guide cable 33 b. The endoscope 33, the video processor 23, and the light source device 24 constitute an endoscope apparatus.
The endoscope 33 includes an imaging device that receives reflected light from an object through an observation window provided at the distal end portion of the insertion portion and photoelectrically converts the reflected light. The image pickup device has a high pixel count, and outputs an image pickup signal corresponding to a 4K video.
In this way, the video processor 23 also processes the image pickup signal of the 4K video, and generates and outputs a video signal of the 4K video.
The light source device 24 is connected to the video processor 23, and performs a dimming operation in accordance with a dimming signal from the video processor 23. The light source device 24 performs selection control of an internal filter according to the observation mode. For example, when the user operates the video processor 23 to select the observation mode in a case where the endoscope 33 corresponds to two observation modes, i.e., a normal light observation mode and a special light observation mode such as an infrared observation mode, the selection signal is output to the light source device 24. The light source device 24 operates in accordance with the selection signal so that a filter corresponding to the observation mode in which the internal color filter or the like is selected is disposed on the optical path of the illumination light.
The video switcher 34 and the recorder 35 are mounted on the table 13.
The video switcher 34 is an apparatus that: the output destinations of the video signals from the video processor 23, the indoor camera 16, and the recorder 35 are switched, and the monitor 14, 15, or 27 is designated to display each image.
The video switcher 34 has an operation unit 34a provided with a plurality of operation buttons for switching the output destination of each video signal, and a user such as a nurse can designate which monitor each image of the video processor 23, the indoor camera 16, and the recorder 35 as the video signal source is to be displayed by operating a desired operation button of the operation unit 34 a.
Further, the display switching operation of the video switcher 34 can be performed on the operation panel 28.
The recorder 35 is a device for recording the endoscope image from the video processor 23 and the indoor image of the indoor camera 16.
The system controller 26 is connected to the indoor camera 16, the electric scalpel device 21, the pneumoperitoneum device 22, the video processor 23, the light source device 24, the operation panel 28, the video switcher 34, and the recorder 35 via signal lines not shown.
The operation panel 28 is connected to the system controller 26, and a user can perform operation inputs such as turning on/off of various devices and changing set values by touching a desired operation switch displayed on the operation panel 28.
Further, the user can directly operate the operation buttons and the like of the respective devices such as the video processor 23, the pneumoperitoneum device 22, and the video switcher 34 to perform operation inputs such as turning on/off of the respective devices and changing of setting values.
The system controller 26 is connected to, for example, a LAN in a hospital via a cable 29. The LAN is also connected to the external internet. Thereby, the system controller 26 can also transmit an electronic mail or the like via the internet.
As described above, the system controller 26 can collectively control the indoor cameras 16, the monitors 14 and 15, the electric scalpel device 21, the pneumoperitoneum device 22, the video processor 23, the light source device 24, the recorder 35, and the unshown shadowless lamp. Therefore, when the system controller 26 communicates with these devices, the system controller 26 can display a setting screen such as a setting state of the connected device and an operation switch on the liquid crystal display of the operation panel 28.
Fig. 2 is a block diagram showing the flow of control signals and image signals between devices of the surgical system 1. In fig. 2, the video signal is indicated by a solid arrow, and the control signal is indicated by a broken arrow.
The monitors 14, 15, and 27 are connected to a video switcher 34, and the three video signals of the indoor camera 16, the video processor 23, and the recorder 35 are output to any one of the monitors 14, 15, and 27 via the video switcher 34.
As described above, the system controller 26 is connected to the room camera 16, the electric scalpel device 21, and the like via signal lines, can communicate with each other, and can control each device. That is, the system controller 26 is a centralized control device that performs centralized control of the controlled devices used in the operation.
The video processor 23 and the light source device 24 are also connected by a signal line as described above, and can communicate with each other and perform a dimming operation or the like.
Fig. 3 is a block diagram showing the structure of the system controller.
The system controller 26 is a computer device including a central processing unit (hereinafter, referred to as CPU), a ROM, a RAM, and other storage devices. The respective functions of the system controller 26 are realized by reading out and executing various programs stored in the memory.
The system controller 26 includes a control section 41, a Hard Disk Drive (HDD)42, a peripheral interface (hereinafter, simply referred to as I/F) section 43, a LAN I/F section 44, a touch panel I/F section 45, and a display image generation section 46.
The control section 41 includes an operation/setting record processing section 51, a device abnormality detection section 52, and a related information extraction section 53. Each of the operation/setting recording processing unit 51, the device abnormality detection unit 52, and the related information extraction unit 53 is constituted by a CPU and a processing program.
The hard disk device 42 is a large-capacity memory and is connected to the control unit 41. Image data of the endoscopic image and log data described later are recorded in the hard disk device 42. Various processing programs and various parameter data necessary for the various processing programs may be recorded in the hard disk device 42.
The hard disk device 42 stores log data described later and extraction condition data described later.
The peripheral device I/F unit 43 is an I/F for exchanging data between a plurality of peripheral devices including the electric scalpel device 21, the pneumoperitoneum device 22, the video processor 23, the light source device 24, the room camera 16, the video switcher 34, and the recorder 35, and the control unit 41. The control unit 41 receives image data of an endoscopic image, log data described later, and an error notification via the peripheral device I/F unit 43.
The LAN I/F unit 44 is connected to the cable 29 connected to the LAN in the hospital, and is an I/F for the control unit 41 to perform communication via the LAN.
The system controller 26 can communicate with a server 61 in a hospital via a LAN, and can also be connected to the internet 62 via the server 61. In this way, the system controller 26 can also transmit an email to a portable terminal device 63 such as a smartphone or a tablet computer via the internet 62.
In the present embodiment, the log data and the extraction condition data are stored in the hard disk device 42, but may be stored in the server 61. If the log data and the extraction condition data are stored in the server 61, the cause of the error notification can be traced even in a state where the power supply of the system controller 26 is turned off after the operation.
The touch panel I/F section 45 is an I/F circuit for transmitting and receiving signals to and from the touch sensors of the operation panel 28.
The display image generation unit 46 is a circuit for generating an image displayed on a display unit such as a liquid crystal display of the operation panel 28 and outputting the generated image signal to the operation panel 28.
The operation/setting recording processing section 51 of the control section 41 is a processing section that: operation information on various operations including a setting operation is selected from various signals from the respective devices via the peripheral device I/F unit 43, and the operation information is recorded as log data in the log table 42a which is a predetermined storage area of the hard disk device 42. The hard disk device 42 further includes a storage area 42b for storing extraction condition data described later.
That is, the operation/setting recording processing unit 51 constitutes a recording processing unit that performs recording processing for recording operation information on operations of the controlled device, which is a non-medical device, with respect to the medical device, as log data in the hard disk device 42, which is a predetermined storage device.
The device abnormality detection unit 52 is a processing unit that: various signals from the respective devices are received via the peripheral device I/F section 43, and an error notification for notifying an abnormal state of the device is selected from the received signals to detect an abnormality of the device.
That is, the device abnormality detecting unit 52 constitutes an abnormality detecting unit that detects an abnormal state of the controlled device connected to the system controller 26 as the centralized control device.
Further, when receiving the error notification, the operation/setting recording processing section 51 records the error notification also as log data in the log table 42 a.
Thus, when a user such as a nurse operates the operation panel 28 or operates the operation buttons of the respective devices to perform various operations such as setting of operations and parameter values for the respective devices, and on/off operations and output instruction operations, records of the operations are recorded as log data in the log table 42 a.
In addition, when an error is generated in each device, each device transmits an error notification to the system controller 26. When the system controller 26 receives an error notification from the device that generated the error, the error notification is also recorded as log data in the log table 42 a.
The related information extracting unit 53 extracts log data corresponding to a predetermined extraction condition from the log data based on the received error notification. Specifically, the related information extracting unit 53 reads the extraction condition data corresponding to the received error notification from the storage area 42b, and searches the log table 42a based on the read extraction condition data, thereby extracting the related information related to the error notification.
That is, when the apparatus abnormality detecting section 52 detects an abnormal state, the associated information extracting section 53 extracts associated information associated with the abnormal state from the log data.
When receiving an extraction instruction for a device designated by a predetermined operation of the operation panel 28 by the user as described later, the related information extracting unit 53 reads extraction condition data corresponding to the extraction instruction from the storage area 42b, and searches the log table 42a based on the read extraction condition data, thereby extracting related information related to the extraction instruction.
That is, when receiving an instruction to extract log data for the designated controlled device, the related information extracting unit 53 extracts related information related to the designated controlled device from the log data.
Thus, the related information extracting unit 53 constitutes a related information extracting unit that extracts related information related to the error information or the specification information from the log data.
(action)
Next, the operation of the system controller 26 will be described.
First, an example of log data is explained.
Fig. 4 is a diagram showing an example of log data recorded in a log table of a hard disk device of a system controller.
The log data is stored in a log table 42a in a predetermined storage area of the hard disk device 42.
As shown in fig. 4, the log data is in the form of a table. Each log data includes date, time of day, log type, device ID (identifier), device name, function, value, operation direction, and each item data of the group.
As shown in fig. 4, the log data is stored in the log table 42a in order of generation time.
As described above, the hard disk device 42 is also provided with the storage area 42b for storing the extraction condition data. The extraction condition data can be set from the operation panel 28. The extraction conditions are specified for each error notification, and are set in advance as extraction condition data by an operator, a nurse, or the like, and stored in the storage area 42 b. The extraction conditions will be described later.
(Log data Transmission when error occurred)
Fig. 5 is a flowchart showing an example of the flow of processing of the system controller at the time of error generation.
The system controller 26 determines whether or not the error notification is received by the device abnormality detecting section 52 (S1).
For example, when the nurse erroneously operates the operation unit 34a of the video switcher 34 and the monitor 15 is in a state of not outputting the video signal, the video switcher 34 detects that there is no video signal to be output to the monitor 15, that is, no signal (no synchronization signal). The video switcher 34 outputs an error signal indicating that the signal output to the monitor 15 is no signal to the system controller 26. The system controller 26 receives the error signal in S1.
When the error notification is not received (S1: NO), no processing is performed.
When the error notification is received (S1: yes), the system controller 26 performs associated information extraction processing of extracting associated information associated with the error notification from the log data by the associated information extraction section 53 (S2).
Fig. 6 is a flowchart showing an example of the flow of the processing of the related information extracting unit.
The related information extracting unit 53 reads out the extraction condition based on the received error notification (S11).
Fig. 7 is a diagram showing an example of an extraction condition table for specifying extraction conditions.
The extraction condition table TBL is contained in the storage area 42b, and has eight items of a device name, an event, three extraction types, and three parameters. That is, the extraction condition table TBL constitutes an extraction condition storage unit that stores extraction conditions for extracting the related information.
Here, the extraction condition table TBL stores information of three extraction types corresponding to an abnormal state defined by a combination of a device name and an event as extraction conditions. As for the three extraction types, three types, i.e., a first extraction type having the highest priority to a third extraction type having the lowest priority, are set in the extraction condition table TBL.
In fig. 7, the following is shown for an abnormal state of "state error" of the video switcher: the first extraction type is "B", the parameter value of the first extraction type is "5", the second extraction type is "C", the parameter value of the second extraction type is "1", the third extraction type is "a", and the parameter value of the third extraction type is "3".
As shown in fig. 7, the extraction condition table TBL also sets the first to third extraction types and their parameter values for the abnormal states of the "state error" of the pneumoperitoneum device and the "state error" of the endoscope apparatus. For each combination of other devices and events, three extraction types and parameter values are set as extraction conditions in the extraction condition table TBL in the same manner.
As described above, the related information extracting unit 53 extracts the related information from the log data according to the extraction condition specified from the plurality of extraction conditions. Prescribed priorities are determined for the plurality of extraction conditions. The predetermined priority defines the order of transmission of the related information as described later, or defines the order of display of the related information in the portable terminal device 63 as a receiving device for receiving and displaying the transmitted related information.
Here, the extraction type "a" specifies log data to be extracted in terms of time, and when the extraction condition is the extraction type "a" and the parameter value is "3", for example, log data of a specified time, for example, 3 minutes, immediately before the occurrence of an event is extracted.
That is, the extraction type "a" as the extraction condition is a condition in which all log data from the generation time of the error information onward until a predetermined time is used as the related information.
The extraction type "B" specifies log data to be extracted by a device name, and when the extraction condition is the extraction type "B" and the parameter value is "5", for example, log data of a predetermined number of operations, for example, 5 operations, immediately before an event occurs with respect to a device in which the event occurred is extracted. Further, the parameter may be time.
That is, the extraction type "B" as the extraction condition is a condition in which log data of the controlled apparatus related to the error information up to a predetermined number of times or a predetermined time before the error information is generated is set as the associated information.
The extraction type "C" specifies log data to be extracted by a predetermined group, and when the extraction condition is the extraction type "C" and the parameter value is "1", for example, log data of a group 1 to which a device in which an event has occurred belongs is extracted. As for the group, one or more devices associated with the device that has output the error notification are set in advance as one group. For example, in the case of the video switcher 34, the endoscope apparatus, the indoor camera 16, and the recorder 35 are set as one group as devices associated with the video switcher 34.
That is, the extraction type "C" as the extraction condition is a condition in which log data before the error information is generated, which is associated with a plurality of controlled apparatuses belonging to a group predetermined for the controlled apparatus related to the error information, is used as the associated information.
As described above, the extraction condition table TBL as the extraction condition storage unit stores a plurality of extraction conditions for each abnormal state. The related information extracting unit 53 extracts related information from the log data according to an extraction condition specified from the plurality of extraction conditions.
Here, as shown in fig. 7, three extraction types corresponding to a combination of the device name and the event are defined as the extraction conditions, but one item such as the device name may be used, or a combination other than a combination of the device name and the event may be used.
Here, as shown in fig. 7, three extraction conditions are defined for each abnormal state, but one extraction condition may be used.
Alternatively, the extraction conditions may be at least one or at least two of the following conditions: a condition for setting all log data from the generation time of the error information to a predetermined time as the related information; a condition for setting log data of the controlled device relating to the error information up to a prescribed number of times or a prescribed time before the error information is generated as the associated information; and a condition for setting, as the association information, log data before the error information is generated, for a plurality of controlled devices belonging to a group predetermined for the controlled device relating to the error information.
Here, three extraction types and parameter values are set in the extraction condition table TBL for each combination of equipment and events, but the three extraction types may not be set for all extraction types, and four or more extraction types and parameter values may be set in the extraction condition table TBL.
Next, the related information extracting unit 53 performs the following extraction processing: extraction of log data corresponding to the extraction condition read out in S11 is performed (S12).
Since the video switcher 34 is not outputting the video signal to the monitor 15 as described above, the video switcher 34 is "in the state error", the information of the first extraction type to the third extraction type corresponding to the "in the state error" of the video switcher 34 and the respective parameter values are read from the extraction condition table TBL in S11, and the log data of the three read extraction types are extracted in S12.
Since the first extraction type is "B" and the parameter value is "5", in the case of fig. 4, log data for the previous 5 operations of the video switcher 34 is extracted.
Fig. 8 is a diagram showing the extracted log data in the case where the extraction type is "B". In fig. 8, log data DD for the previous 5 times of "video switcher" in the item "device name" as the extraction keyword DT is extracted.
Also, since the second extraction type is "C" and the parameter value is "1", log data for the operation of the device belonging to the group "1" of the devices associated with the video switcher 34 is extracted.
Fig. 9 is a diagram showing the extracted log data in the case where the extraction type is "C". In fig. 9, log data DD for the operation of a device belonging to group "1" in the item "group" as the extraction key DT is extracted.
Also, since the third extraction type is "a" and the parameter value is "3", in the case of fig. 4, log data of 3 minutes immediately before the error notification is extracted.
Fig. 10 is a diagram showing the extracted log data in the case where the extraction type is "a". In fig. 10, log data DD in a range of 3 minutes immediately before the error notification in the item "time" as the extraction keyword DT is extracted.
After the process of S12, the associated information extracting unit 53 creates an output file (S13). At S13, the related information extracting unit 53 generates a plurality of output files containing the extracted log data from the log data extracted at S12. Here, since three extraction conditions are set according to the contents of the error, three output files are generated.
The example of fig. 4 is an example in which the system controller 26 receives an error notification from the video switcher 34, but next, a description will be given of a case in which the system controller 26 receives an error notification from the video processor 23 constituting the endoscope apparatus.
Fig. 11 is a diagram showing another example of log data recorded in the hard disk device of the system controller.
In fig. 11, the video switcher 34 is assigned to group 1, the image devices other than the endoscope apparatus are assigned to group 2, the endoscope apparatus including the endoscope 33, the light source apparatus 24, and the video processor 23 is assigned to group 3, and the energy apparatus including the electric scalpel apparatus 31 and the electric scalpel apparatus 21 is assigned to group 4.
Fig. 11 shows log data for a certain period. Details of the history of the log data of fig. 11 are as follows.
The user operates the system controller 26 to set the video switcher 34, output the video of the room camera to the monitor 15, and operates the video processor 23 to set the color mode of the 4K endoscopic image to the normal observation mode "1". The video processor 23 notifies the light source device 24 of the change of the color mode of the endoscopic image.
Next, log data in which the white balance button of the endoscope apparatus is operated to complete the white balance is recorded.
Thereafter, the user operates the system controller 26 to set the start of pneumoperitoneum to the pneumoperitoneum device 22, and thereafter, sets the start of Recording (REC) to the recorder 35.
Then, the user operates the system controller 26 to set the pneumoperitoneum pressure of the pneumoperitoneum device 22 to "5", and notifies the system controller 26 that the pneumoperitoneum pressure has been changed to "5" from the pneumoperitoneum device 22 in accordance with the setting.
Thereafter, the user operates the system controller 26 to set the color mode of the endoscope apparatus to the infrared light observation mode (2). As a result, the video processor 23 notifies the light source device 24 of the change of the color mode of the endoscopic image, and the color mode is changed to the filter for the infrared light observation mode.
Then, the user operates the system controller 26 to set the output value of the electric scalpel device 21 to "5", and notifies the system controller 26 that the output value has been changed to "5" from the electric scalpel device 21 in accordance with the setting.
Then, the user operates the operation portion of the front panel of the light source device 24 to notify that the color mode is changed to the normal light observation mode "1".
The video processor 23 monitors the state of the light source device 24, and outputs an error notification to the system controller 26 when detecting that the color mode of the light source device 24 does not match the color mode of the video processor 23.
As described above, when the nurse erroneously operates the operation panel of the light source device 24 to change the color mode of the light source device 24 to the color mode (color mode 1) corresponding to the normal light observation mode after the observation mode is changed from the normal light observation mode to the special light observation mode, the video processor 23 outputs an error notification.
In fig. 11, "color mode mismatch" is output from the video processor 23 of the endoscope apparatus as "status error".
The case where the "color pattern mismatch" of the "state error" of the endoscope apparatus is the "state error" of the endoscope apparatus, and therefore the information of the first to third extraction types set in the extraction condition table TBL and the respective parameter values are read out. In S12, the read log data of the three extraction types are extracted.
Since the first extraction type is "B" and the parameter value is "3", in the case of fig. 11, log data for 3 previous operations of the endoscope apparatus is extracted.
Fig. 12 is a diagram showing the extracted log data in the case where the extraction type is "B". In fig. 12, log data DD for 3 previous times for "endoscope apparatus" in the item "device name" as the extraction keyword DT is extracted.
Also, since the second extraction type is "C" and the parameter value is "3", in the case of fig. 11, log data of the operation with respect to the device belonging to the group 3 of devices associated with the endoscopic apparatus is extracted.
Fig. 13 is a diagram showing the extracted log data in the case where the extraction type is "C". In fig. 13, log data DD for the operation of a device belonging to group "3" in the item "group" as the extraction key DT is extracted.
Since the third extraction type is "a" and the parameter value is "10", all log data DD are extracted for a predetermined period immediately before the error notification, that is, for 10 minutes.
Fig. 14 is a diagram showing the extracted log data in the case where the extraction type is "a". In fig. 14, log data DD 10 minutes immediately before the error notification in the item "time" as the extraction keyword DT is extracted.
Returning to fig. 5, the system controller 26 performs mail transmission processing for transmitting an electronic mail including the related information to a predetermined notification destination (S3). The processing of S3 constitutes a transmission unit that transmits the extracted related information to a predetermined transmission destination. In other words, the process of S3 constitutes a notification unit for notifying the extracted related information.
The body of the mail is a fixed term using the template, and the three output files created in S13 are added as the attached file of the mail, and the mail transmission processing is performed. The maintenance person in charge as the user can operate the portable terminal apparatus 63 to open and view the attached file of the received electronic mail.
Note that the log data may be output in the form of voice from the portable terminal device 63.
Fig. 15 is a diagram showing an example of display of log data displayed on the display screen of the portable terminal apparatus. The portable terminal device 63 is a smartphone, a tablet computer, or the like, and a display unit that displays the display screen 63a includes a touch panel.
When receiving the electronic mail, the user can operate the portable terminal device 63 to display the log data of the attached file on the display screen 63 a.
On the display screen 63a, an error content display section 64, a log data display section 65, and a page turn button 66 are displayed.
The error content display unit 64 displays a message "no signal error of switcher", and shows the error content.
The log data of the output file is displayed on the log data display unit 65, and the user can display only log data associated with the generated error without displaying all log data. When the user opens the additional files, the three additional files are arranged according to the priority, and the log data extracted under the extraction condition with the highest priority can be displayed first. Here, the first extraction type has the highest priority, the second extraction type has the second priority next to the first extraction type, and the third extraction type has the lowest priority.
The priority is determined according to the contents of the error so that log data from which the cause of the error is likely to be found is displayed, and therefore the user is likely to find the cause of the error quickly.
When the cause of the error cannot be found even if the displayed log data is viewed, the user can cause the log data extracted with the next priority of the extraction condition of the log data currently being displayed to be displayed on the log data display unit 65 by touching the page turning button 66.
Thus, in the above example, the log data extracted in the first extraction type (B) is displayed first, and the log data extracted in the second extraction type (C) is displayed by operating the page turning button 66. When the log data extracted in the second extraction type (C) is displayed, the log data extracted in the third extraction type (a) is displayed by operating the page turning button 66.
In the mail transmission process of S3, although three output files are attached to one email and transmitted, an email to which only an output file to which log data extracted by the extraction type with the highest priority is attached may be transmitted first, and then an email to which only an output file to which log data extracted by the extraction type with the second highest priority is attached may be transmitted in accordance with the operation of the page turn button 66 described above. That is, the log data of the extraction condition of the next priority may be transmitted according to the user's request.
As described above, the priority for specifying the order of transmission of the related information or the order of display of the related information in the receiving apparatus for receiving and displaying the related information is specified for the three extraction conditions.
Thus, upon receiving an error notification from the device, log data associated with the error notification is extracted as association information, and the log data is sent to the maintenance person in charge by email. When an error occurs, the maintenance person in charge can see only the notification and log data that is the operation history associated with the error, and can therefore quickly grasp the cause of the operation error or the like.
(Log data transmission when non-error occurs)
Also, there may be the following: although no error occurs during the operation, setting or operation is mistaken, and the operation of the device is not intended by the operator or the nurse.
In such a case, the user can transmit log data of a desired device to the maintenance person in charge by performing a predetermined operation on the operation panel 28.
Fig. 16 is a diagram showing an example of display of the display unit of the operation panel 28.
The operation panel 28 is a display device with a touch panel, and various information and operation buttons and the like are displayed on the display unit 28a of the operation panel 28. In fig. 16, various information is displayed in an area 71 indicated by a dotted line, and various operation buttons are displayed. An operation log extracting/transmitting button 72 is displayed as an operation button on a part of the display unit 28 a.
When a user such as a nurse touches the operation log extracting/transmitting button 72, a pull-down menu 73 is displayed.
Fig. 17 is a diagram showing an example of display of a display unit displaying a pull-down menu.
The pull-down menu 73 includes a plurality of operation buttons for the names of the devices such as the pneumoperitoneum device, the electric scalpel device, and the like.
For example, when the user wants to transmit log data for the operation of the pneumoperitoneum device, the log data for the operation of the pneumoperitoneum device is extracted from the log data by touching the operation button of the "pneumoperitoneum device", and is transmitted to the address of the email of the maintenance person in charge registered in advance.
Fig. 18 is a flowchart showing an example of the flow of the processing of the system controller 26.
The system controller 26 determines whether or not a predetermined operation button is operated (S21). Here, when the user touches the operation log extracting/transmitting button 72 with a finger and selects the target device in the pull-down menu 73, it is determined that the predetermined operation button is operated.
For example, although the error notification from the abdominal organ 22 is not output, when the user such as a nurse determines whether the output of the abdominal organ 22 is not the desired output, it is determined that the predetermined operation button has been operated by touching the operation log extraction/transmission button 72 and touching the operation button of the "abdominal organ" in the pull-down menu 73.
When the predetermined operation button is not operated (S21: NO), no processing is performed.
When a predetermined operation button is operated (yes in S21), the system controller 26 performs log data extraction processing for extracting the related information related to the operation button from the log data by the related information extraction unit 53 (S2).
The log data extraction process (S2) is the same as the process shown in fig. 6, but the reference table when the extraction condition is read is a table different from the extraction condition table TBL.
Fig. 19 is a diagram showing an example of an extraction condition table for specifying extraction conditions.
The extraction condition table TBL1 has two items of an operation button name and an extraction type.
Here, the extraction condition table TBL1 stores information of the extraction type corresponding to the operation button name. Fig. 19 shows a case where the extraction type is "B" for the video switcher, pneumoperitoneum device, and endoscope device, and a case where the extraction type is "a" for "unknown". That is, the extraction condition table TBL1 in fig. 19 stores information of the extraction type corresponding to the operation button name.
The processing of S3 is the transmission processing described above.
Thus, when receiving an instruction to extract log data for the designated controlled device, the related information extracting unit 53 extracts related information related to the designated controlled device from the log data. Then, the association information is transmitted to a predetermined address.
As described above, according to the above-described embodiments, it is possible to provide a centralized control apparatus that selects and transmits log data associated with an abnormality when the abnormality occurs in a device used in an operation.
Further, even if no abnormality occurs, the central control apparatus can transmit log data for the operation of the device desired by the user, and therefore the user can promptly know the discovery or designation of the setting error or the like.
Next, a modified example will be described.
In the above-described embodiment, the log data extracted by the related information extraction unit 53 is transmitted from the system controller 26 to the portable terminal device 63 via the server 61 by email, but the log data may be stored in the server 61 and a notification notifying only that the log data is extracted may be transmitted to the portable terminal device 63 of the maintenance person by email. The maintenance person in charge who receives the notification can refer to the log data stored in the server 61.
The log data extracted by the related information extraction unit 53 may be displayed on the display unit of the operation panel 28 of the system controller 26. In this case, the display portion of the operation panel 28 constitutes a notification portion for notifying the extracted log data. The maintenance person in charge can refer to the log data displayed on the display unit of the operation panel 28.
Each "section" in the present specification is conceptual corresponding to each function of the embodiment, and therefore does not necessarily correspond to specific hardware, software, or routines in a one-to-one manner. Therefore, in the present specification, the embodiments are described below assuming a virtual circuit block (portion) having each function of the embodiments. In addition, as long as the nature of each step of each process in the present embodiment is not violated, the execution order may be changed, or a plurality of steps may be executed simultaneously, or each execution may be executed in a different order. Further, all or part of each step of each process in the present embodiment may be realized by hardware.
The present invention is not limited to the above-described embodiments, and various modifications, changes, and the like can be made without departing from the spirit of the present invention.
This application is based on the priority claim of Japanese patent application No. 2016-.

Claims (6)

1. A central control device is provided with:
a communication unit that can communicate with a plurality of controlled devices used in a surgery;
an abnormality detection section that detects an abnormal state of the controlled device based on a communication result of the communication section;
a recording processing section that performs recording processing for recording operation information regarding an operation on the controlled device in a predetermined storage device as log data;
an extraction condition storage unit capable of storing an extraction condition relating to an abnormal state according to the type of the plurality of controlled devices; and
a related information extracting unit that extracts predetermined log data of the log data recorded in the recording processing unit as related information in accordance with the extraction condition stored in the extraction condition storing unit in accordance with a type of the controlled device for which the abnormal state is detected, when the abnormality detecting unit detects the abnormal state with respect to any one of the plurality of controlled devices,
wherein the extraction condition stored in the extraction condition storage section includes a plurality of extraction types and a plurality of parameters whose priorities are different according to the kinds of the plurality of controlled devices,
the plurality of extraction types include a type in which log data relating to the controlled apparatus itself, for which the abnormal state is detected, is set as the associated information, and a type in which log data relating to a plurality of controlled apparatuses belonging to a group including the controlled apparatus for which the abnormal state is detected is set as the associated information.
2. The central control apparatus according to claim 1,
the log data includes the operation information on the operation for the controlled device and respective identification information related to the controlled device.
3. The central control apparatus according to claim 1,
the priority specifies an order of display of the associated information in a display device for displaying the associated information.
4. The central control apparatus according to claim 1,
further comprising a notification unit for notifying the extracted association information,
the notification unit is a transmission unit that transmits the extracted association information to a predetermined transmission destination,
the priority defines an order of transmission of the related information in the transmission unit or an order of display of the related information in a reception device for receiving and displaying the related information transmitted from the transmission unit.
5. The central control apparatus according to any one of claims 1 to 4,
the plurality of extraction types further include a type in which all log data from the generation time of the abnormal state onward until a prescribed time is set as the associated information.
6. The central control apparatus according to any one of claims 1 to 4,
the plurality of parameters include a parameter in which the log data until a prescribed number of times or a prescribed time before the abnormal state is generated is set as the association information, in relation to the controlled apparatus itself in which the abnormal state is detected.
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